Chapter

Vulnerable adults and families

Malcolm Payne

in Death, Dying, and Social Differences

Second edition

Published in print September 2011 | ISBN: 9780199599295
Published online January 2012 | e-ISBN: 9780191731532 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199599295.003.0035
Vulnerable adults and families

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This chapter addresses the issue of whether palliative care services are responsible for protecting vulnerable adults and families. Vulnerability to abuse and neglect is increased for dying people compared with the general population. However, abuse, neglect, and self-neglect are poorly identified and reported in all social and health care settings, including palliative care. Carer stress and domestic violence are important factors in abuse and neglect, and self-neglect occurs because of poor social and health care resources and chaotic lifestyles in all age groups, rather than mental incapacity mainly among older people. Preventive strategies through engagement with national and local coordination and through interventions with families are required to identify perpetrators and safeguard vulnerable people from abuse, neglect, and self-neglect.

Keywords: palliative care; vulnerable adults; neglect; self-neglect; abuse

Chapter.  3572 words. 

Subjects: Palliative Medicine

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